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NPI Code Detail

MEDICARE: MR. DAMON JAY VECCI LMP

MEDICARE:  MR. DAMON JAY VECCI  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00021408WA

General Provider Information

NPI Number : 1740472661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAMON JAY VECCI LMP
Provider Business Mailing Address
First Line : 8833 39TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-4822
Country : US
Telephone Number : 206-473-7662
Fax Number :
Provider Business Practice Location Address
First Line : 2351 10TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98102-4009
Country : US
Telephone Number : 206-473-7662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 10/06/2009

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Directions to “ MR. DAMON JAY VECCI LMP” Practice Location

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